Provider Demographics
NPI:1720868938
Name:GUNTHER, ABIGAIL KATHRYN (CNM)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:KATHRYN
Last Name:GUNTHER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:KATHRYN
Other - Last Name:BUDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 N. 500 W. ATTN CREDENTIALING
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:1886 W 800 N
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4097
Practice Address - Country:US
Practice Address - Phone:801-756-5288
Practice Address - Fax:801-756-7589
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8730964-4402176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife